下肢疲勞對於急停跳動作之影響

運動中疲勞容易使人受傷，動作型態可能會改變，更會增加著地時的地面反作用力，

從本研究中也可以發現在完成 90 秒的反覆下蹲跳後，在十等地柏格自覺吃力度量表皆達到 9 分以上，在制動期著地瞬間有較小的膝關節屈曲角度，代表身體呈現較為僵硬的狀態；另外，有較小的外翻角度，這顯示疲勞後，肌肉較為緊繃，在制動期前下肢肌群花了更多力量去維持身體的姿勢，由於身體較為僵硬，在角度峰值上，增加了內旋角度的峰值，反而對於身體穩定度的維持較差，而膝關節內旋會增加膝關節的負荷 (Chappell et al., 2005)，此外，在無貼紮時，疲勞後膝關節向前剪力確實有顯著的增加，顯示出疲勞對膝關節負荷的增加，而在肌內效貼紮介入後，膝關節向前的剪力在疲勞後卻沒有顯著的上升，顯示出肌內效貼布確實能夠有效的支撐與保護關節，藉此降低地面反作用力與膝關節的負荷。

第陸章、結論與建議

疲勞介入後進行急停跳動作，在運動學上減少膝關節著地瞬間的角度及增加膝關節內旋角度峰值，身體呈現一個較僵硬且不穩定的狀況，在無貼紮情形下更使動作模式改變，增加了地面反作用力及膝關節向前之剪力，而當股直肌肌內效貼紮介入後，

不論疲勞與否皆能有效降低地面反作用力、髖關節伸展力矩及膝關節向前之剪力，降低膝關節的負荷，並協助身體維持疲勞前後動作的一致性，這樣的結果在跳躍高度上也可以看到，貼紮介入後比無貼紮跳躍高度下降較少，顯示出肌內效貼紮確實能達到降低身體衝擊及穩定保護關節的作用。

急停跳動作主要需依靠下肢段各關節肌群共同作用來完成，運動過程中疲勞容易造成傷害，其中膝關節於整個動作過程中非常重要，過小的膝關節屈曲角度、過大的地面反作用力、過大的髖關節伸展力矩及膝關節向前剪力等，皆容易造成膝關節傷害，而肌內效貼紮於股直肌上確實能夠降低急停跳動作對膝關節之負荷，且這樣的效果在介入下肢快速疲勞後依舊存在，因此，當需要從事較為高負荷的反覆跳躍運動時，為避免傷害的產生，可以在不影響運動表現的狀況下進行預防性的股直肌肌內效貼紮。

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附件一、受試者基本資料表 (一般大專生)

受試者基本資料表

在您瞭解本實驗並且願意參與本實驗後，請填寫下列各項基本資料，讓實驗者了解您的生理狀況以及運動背景，讓實驗可以順利進行。

而您所填寫的各項資料將會受到嚴格保密，不會有公開的危險。

受試者姓名：出生日期：年月日行動電話： E-mail：

身高：公分體重：公斤性別：

一個星期運動的時間：小時

平常運動項目為：

是否受過運動傷害：□是 □否，如受過傷，受傷部位：

是否痊癒：□是 □否

是否有使用肌內效貼布的習慣：練習：□是 □否比賽：□是 □否是否認為肌內效貼布有功效：□是 □否

編號肢段名稱右Right (cm) 左Left (cm) 1 腳長 LegLength

2 膝寬 KneeWidth 3 踝寬 AnkleWidth

4 肩窩厚 ShoulderOffset 5 手肘寬 ElbowWidth 6 腕寬 WristWidth

7 手掌厚 HandThickness

8 Asis寬

InterAsisDistance

9 腳寬 FootWidth

謝謝您如實的填寫！

附件二、受試者知情同意書

英文：

Effect of Rectus Femoris Kinesio Taping on the Stop-Jump Task after Lower Extremity Fatigue

次則無，兩次實驗間隔 48 小時以上，每次實驗過程約 2 小時，首先架設實驗器材並

療費用由科技部計畫費用支出，並支出照料至完成復健療程為止。

九﹑損害補償或保險：

（含研究參與者之法定權益受損時之補償責任，若無亦請註明。）

十三、研究參與者簽名同意

本人已詳細瞭解上述研究方法及其可能的益處與風險，有關本研究計畫的疑問，已獲得詳細說明與解釋。本人同意成為本研究計畫的自願研究參與者。

研究參與者簽名：＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿

日期：年月日

附件三、十等第柏格自覺吃力度量表(Borg Rating of Perceived Exertion)

47 sd 5.072918292 5.85 1.55241747 2.01246118

前後分力峰值 (B.W.)

序號 NSJ NFSJ KSJ KFSJ N3 0.700169 1.091628 0.906491 0.7693 N4 0.841414 0.932341 0.879173 0.889997 N5 1.140612 1.038622 0.943432 0.888677 N6 0.833525 0.76884 0.843275 0.758737 N7 1.022233 0.753937 1.126884 0.937782 N9 0.897368 1.157409 0.600493 0.508143 N10 1.033261 0.67976 0.782069 0.624884 N13 0.619496 0.643805 0.8119 0.606667 N15 0.890088 1.59168 0.644066 0.795408 N20 0.326355 0.444488 0.520808 0.569628 avg 0.830452 0.910251 0.805859 0.734922 sd 0.235199 0.326732 0.179225 0.14965

垂直分力峰值 (B.W.)

序號 NSJ NFSJ KSJ KFSJ N3 2.412342 2.845393 2.196831 2.808423 N4 2.212144 2.574074 1.840306 1.839212 N5 2.804224 2.878983 2.713264 2.586906 N6 2.144617 1.743559 1.676443 1.545026 N7 2.104168 2.117476 2.536351 2.237403 N9 1.786796 2.363676 1.38011 1.446059 N10 2.581501 2.381264 1.87182 2.403075 N13 1.792773 1.920879 1.61923 1.56437 N15 1.778834 2.796848 2.158039 2.23245 N20 1.415624 1.627965 1.615973 1.813024 Avg 2.103302 2.325012 1.960837 2.047595 Sd 0.422139 0.459149 0.430523 0.472894

膝關節觸地屈曲角度 (deg) Avg 32.1461 31.03365 34.93855 33.47535

Sd 7.916082 8.745065 6.807606 6.537418

49 Sd 4.010609 3.232604 4.663471 5.495144

膝關節觸地內旋角度 (deg)

Sd 4.626121 4.378677 6.882929 7.315708

50 N9 101.9275 102.079 118.5515 140.9875 N10 91.6985 120.643 112.3095 113.168 N13 98.561 100.734 96.7785 104.1745 N15 84.229 82.056 89.2855 91.5305 N20 135.7015 152.622 106.77 103.3195 Avg 98.6102 105.0686 100.9422 104.0056 Sd 13.97852 19.25461 10.22741 14.68263

膝關節外翻角度峰值 (deg)

Sd 10.52794 9.042306 8.451226 8.387693

51 Sd 9.304617 10.81124 8.441437 9.640641

踝關節觸地蹠曲角度 (deg)

Sd 5.069319 5.615684 5.954884 6.609824

Sd 6.314532 6.829896 5.460064 6.593454

踝關節觸地外旋角度 (deg) Sd 9.5912 9.870575 9.374527 8.886282

53 Avg 24.73755 25.42655 27.9156 27.14025

Sd 4.528045 6.095585 3.693712 3.201452

踝關節外翻角度峰值 (deg)

Sd 7.030681 6.729508 7.486809 8.897273

Sd 9.929848 9.226508 4.693633 6.171712

髖關節觸地屈曲角度 (deg) Sd 7.89295 9.497389 10.13111 8.836185

Sd 2.80269 2.834537 6.144333 5.112176

髖關節觸地外旋角度 (deg) Sd 6.004456 4.650488 9.471138 9.396025

Sd 10.37269 13.03259 9.673834 8.807033

膝關節向前剪力峰值 (N/kg)

Sd 5.668605 6.736261 4.364654 4.23961

Sd 1.654406 1.442581 1.399873 1.462255

踝關節蹠曲力矩峰值 (N/kg)

Sd 0.625366 0.352455 0.528964 0.558553

Sd 1.293975 1.586237 1.040614 0.866935

膝關節觸地屈曲角速度 (deg/s) N20 362.3465 312.6655 262.07 222.033 Avg 275.4414 275.2209 282.8638 286.0042

Sd 94.90588 136.569 99.91398 118.7831

膝關節屈曲角速度峰值 (deg/s) 序號 NSJ NFSJ KSJ KFSJ

N3 732.75 806.19 729.626 822.995 N4 997.435 861.115 1016.305 1371.745 N5 522.088 579.6945 923.076 598.957 N6 457.467 333.8115 377.011 427.0935 N7 846.1875 723.748 677.154 525.9225 N9 831.468 733.98 593.329 510.6075 N10 785.3065 748.325 619.5405 791.8725 N13 986.6915 770.742 1129.066 957.441 N15 781.601 876.9155 703.9245 695.6205 N20 632.1755 606.114 625.983 630.6205 Avg 757.317 704.0636 739.5015 733.2875 Sd 178.4331 161.5235 222.9533 276.0229

髖關節觸地屈曲角速度 (deg/s) 序號 NSJ NFSJ KSJ KFSJ

N3 146.71 137.009 175.985 169.06 N4 119.71 120.11 92.63 133.4 N5 30.3055 103.127 40.485 178.065 N6 91.885 184.952 195.9185 275.9985 N7 256.2 66.1125 47.7655 27.7345 N9 172.989 59.059 79.981 74.896 N10 6.0875 91.83 66.3485 55.752 N13 89.392 89.2275 262.2155 136.42 N15 135.067 165.0695 268.7615 215.6415 N20 179.3505 198.809 129.6045 156.327 Avg 122.7697 121.5306 135.9695 142.3295

Sd 73.40378 48.72786 85.35205 75.0697

60 N15 327.9555 350.413 373.7935 375.4875 N20 357.0365 372.409 394.8705 338.729 Avg 380.5777 390.3682 383.1384 361.4462

Sd 108.9333 77.9897 107.2424 91.18036

50ms 前後衝量 (B.W.-s)

序號 NSJ NFSJ KSJ KFSJ N3 0.023259 0.028456 0.025592 0.021952 N4 0.021271 0.018729 0.019864 0.023914 N5 0.027211 0.02256 0.022104 0.019567 N6 0.021828 0.016257 0.021949 0.016929 N7 0.026971 0.02213 0.031816 0.025286 N9 0.024839 0.035725 0.019558 0.01377 N10 0.025991 0.017919 0.016935 0.010971 N13 0.016234 0.018587 0.021393 0.014482 N15 0.019522 0.032863 0.019893 0.019254 N20 0.007926 0.004966 0.018161 0.01883 Avg 0.021505 0.021819 0.021726 0.018496

Sd 0.005897 0.008883 0.004272 0.004556

50ms 垂直衝量 (B.W.-s)

序號 NSJ NFSJ KSJ KFSJ N3 0.068922 0.076675 0.067163 0.07216 N4 0.057424 0.053571 0.046184 0.05665 N5 0.071089 0.063538 0.068529 0.062251 N6 0.056492 0.04895 0.047316 0.043597 N7 0.064193 0.059354 0.073364 0.061662 N9 0.056902 0.073168 0.034859 0.031832 N10 0.080747 0.05938 0.05296 0.05613 N13 0.04895 0.058503 0.052593 0.043779 N15 0.061428 0.093558 0.060929 0.063249 N20 0.03041 0.030489 0.045562 0.049207 Avg 0.059656 0.061719 0.054946 0.054052 Sd 0.013653 0.01699 0.012224 0.011929

制動期前後衝量 (B.W.-s) 序號 NSJ NFSJ KSJ KFSJ

N3 0.059454 0.084213 0.075541 0.070193 N4 0.107421 0.10212 0.109541 0.121271 N5 0.105254 0.099218 0.089997 0.097399 N6 0.089313 0.083201 0.108226 0.087059 N7 0.115313 0.091696 0.117662 0.093374 N9 0.098303 0.11154 0.087837 0.087583 N10 0.09365 0.080956 0.085082 0.072856 N13 0.073102 0.074451 0.077893 0.076929 N15 0.074038 0.095273 0.068675 0.08567 N20 0.058812 0.056028 0.085565 0.08529 Avg 0.087466 0.08787 0.090602 0.087762

Sd 0.020115 0.015771 0.016106 0.014554

制動期垂直衝量 (B.W.-s) 序號 NSJ NFSJ KSJ KFSJ

N3 0.171031 0.244404 0.226537 0.236529 N4 0.300455 0.298043 0.312362 0.350316 N5 0.224034 0.230151 0.207931 0.239728 N6 0.208884 0.222611 0.222059 0.210703 N7 0.255706 0.260269 0.254466 0.22772 N9 0.210223 0.242402 0.192312 0.221912 N10 0.270512 0.267276 0.259433 0.220159 N13 0.181672 0.240971 0.18554 0.217998 N15 0.207155 0.269334 0.21322 0.249054 N20 0.26778 0.244826 0.289446 0.281165 Avg 0.229745 0.252029 0.236331 0.245528 Sd 0.042032 0.022076 0.041663 0.041988

膝關節矢狀面 ROM (deg) Sd 10.47237 11.57681 10.86622 11.47719

63 Avg 17.15577 17.94515 16.46155 15.65675

Sd 7.705248 6.350495 5.890639 4.016831

膝關節橫切面 ROM (deg) Avg 23.85095 25.79155 21.58495 24.27915

Sd 10.82811 13.17212 9.283608 9.237872

64 Sd 7.32362 10.92356 6.299725 4.861467

踝關節額狀面 ROM (deg)

Sd 8.039896 8.157495 6.180658 6.064297

65 Avg 27.4749 25.71605 22.28172 25.18888

Sd 13.1286 10.81927 11.00121 10.95254

髖關節矢狀面 ROM (deg) Sd 8.335162 8.322034 9.335516 8.726897

Sd 0.059172 0.031502 0.081137 0.078852

髖關節伸展力矩峰值時間 (s)

Sd 0.049109 0.026107 0.028092 0.035829

Sd 0.060466 0.163082 0.104201 0.112287

膝關節伸展力矩峰值時間 (s)

Sd 0.064035 0.071202 0.037842 0.072611

Sd 0.012213 0.017242 0.017665 0.014698

垂直分力峰值時間 (s)

Sd 0.004789 0.004447 0.004662 0.005613

Sd 0.035064 0.03739 0.044495 0.046148

起跳期時間 (s)

Sd 0.050216 0.068318 0.045471 0.05822

Sd 0.082811 0.101523 0.084432 0.094719

膝關節角速度峰值時間 (s)

Sd 0.015128 0.0117 0.031514 0.031044

Sd 0.127507 0.055733 0.116502 0.046914

跳躍高度 (m)

序號 NSJ NFSJ KSJ KFSJ N3 0.467132 0.343082 0.42744 0.37603 N4 0.680081 0.548943 0.684626 0.606146 N5 0.457972 0.347531 0.416151 0.346892 N6 0.610639 0.47424 0.558563 0.499242 N7 0.496277 0.392339 0.479652 0.415765 N9 0.43528 0.308491 0.396493 0.297165 N10 0.516732 0.340863 0.506731 0.406359 N13 0.363953 0.254561 0.34909 0.2971 N15 0.33336 0.323504 0.35978 0.348039 N20 0.370014 0.307138 0.333163 0.285576 Avg 0.473144 0.364069 0.451169 0.387831 Sd 0.109525 0.087137 0.109245 0.100832

在文檔中股直肌肌內效貼紮對一般大專男性下肢疲勞後進行急停跳之影響 (頁 38-76)